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uponit7771

(90,348 posts)
Mon Jul 8, 2013, 11:36 AM Jul 2013

How are we supposed to trust the government with medical records?

There's more information in my medical records than my phone records, the NSA is part of the US government

Should we rethink the notion of single payer?


What do you think?


thx in advance for your input

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How are we supposed to trust the government with medical records? (Original Post) uponit7771 Jul 2013 OP
I would trust the government with my medical records, but sure as fuck Autumn Jul 2013 #1
Why does HHS have your trust more than NSA? And how strong do you think those barriers are? (nt) Recursion Jul 2013 #2
Well let's see, I trust the IRS with my information Autumn Jul 2013 #6
Good point about BAH, taxs are done by outside firms also though uponit7771 Jul 2013 #11
They might be, but as I said if they have the wrong information I can Autumn Jul 2013 #15
you trust the IRS?? HeroInAHalfShell Jul 2013 #61
I really don't have a choice on that, none of us do. Autumn Jul 2013 #62
that is true, we don't really have a choice, but that doesn't mean I trust them HeroInAHalfShell Jul 2013 #64
I trust them more than the NSA. Autumn Jul 2013 #66
damn right it is. HeroInAHalfShell Jul 2013 #67
By the way. Welcome to DU Autumn Jul 2013 #68
Thanks! HeroInAHalfShell Jul 2013 #70
The IRS Just Accidentally Published Thousands of SSNs Online dixiegrrrrl Jul 2013 #63
Because one's potential status as an enemy of the state isn't encoded in our entrails? Romulus Quirinus Jul 2013 #13
+1 uponit7771 Jul 2013 #28
Government V Private Global Corporations sabrina 1 Jul 2013 #25
There will be PGC's working for the gov in regards to medical records too... uponit7771 Jul 2013 #42
Then we need laws to prevent that. Either they are serious about our 'security' or they sabrina 1 Jul 2013 #46
You want to shake up Medicare that fundamentally? Recursion Jul 2013 #56
So far. We didn't have the current iteration of Private Corporations until Bush sabrina 1 Jul 2013 #59
Hello? Ever heard of EDS? Recursion Jul 2013 #60
For a list of corporations that process Medicare Parts A & B, see the link FarCenter Jul 2013 #48
You know for profit corps process all Medicare, right? Recursion Jul 2013 #55
The NSA is part of the US government like HHS is. uponit7771 Jul 2013 #7
They are a private contracting company. I draw a distinction there. Autumn Jul 2013 #10
And like the Department of Education NoOneMan Jul 2013 #19
I don't think the gov is in the business of arresting 3rd graders but college records for isntance uponit7771 Jul 2013 #23
They probably are used NoOneMan Jul 2013 #27
..my point being that there is WAY more info in medical records than phone num records... uponit7771 Jul 2013 #30
Maybe we shouldn't but what does this have to do specifically with single-payer? NoOneMan Jul 2013 #37
The gov has my phone records and they have LESS info than my medical records... uponit7771 Jul 2013 #39
Don't. And keep an eye on that sweet ol kindergarten teacher down the street too NoOneMan Jul 2013 #43
How would medical records be used to imprison people? MannyGoldstein Jul 2013 #3
...for isntance in Z trial the government can "leak" that he was on the medication THAT NIGHT... uponit7771 Jul 2013 #14
Wow what a lack of imagination treestar Jul 2013 #26
right, I think I'll update my post to this fact. That medical records a not only specfici but they'r uponit7771 Jul 2013 #32
They show every chemical you've ingested, sexual activity, possibly where you've traveled., nt geek tragedy Jul 2013 #65
I haven't trusted the government since 1966 hobbit709 Jul 2013 #4
I'm not so sure anymore who I can trust in the government... HeroInAHalfShell Jul 2013 #5
How will they use them to identify future dissidents, criminals and terrorists? NoOneMan Jul 2013 #8
Those on psychoactive drugs for instance, that's easy...the NUMBER of ways medical records can be uponit7771 Jul 2013 #18
Fine. Then if you ever get the balls to demand single-payer, do it old school NoOneMan Jul 2013 #22
I got balls enough to get back to a functioning gov so we can get single payer, right now 1 person uponit7771 Jul 2013 #38
Accountability WovenGems Jul 2013 #9
My concern has been employment selection in regards to "fitness" siligut Jul 2013 #12
food for thought treestar Jul 2013 #16
But what if it isn't? Shouldn't we rethink medical records going to the gov? uponit7771 Jul 2013 #21
You know, you really can't trust pipi_k Jul 2013 #17
I trust insurance companies less with my medical information than the government. n/t cynatnite Jul 2013 #20
Right, it seems like the accountability with an insurance company would be less uponit7771 Jul 2013 #24
You get access to medical records on your first day.... cbdo2007 Jul 2013 #29
Huntingtons WovenGems Jul 2013 #35
Well, here is how it would work: The Straight Story Jul 2013 #31
What makes you think the govt doesn't already have access to your medical records??? cbdo2007 Jul 2013 #33
well, if we went single payer they'll most likely have access to more crap...just sayin...access to uponit7771 Jul 2013 #36
I don't know, but I do know I wish I had my entire family medical history available for searching. tridim Jul 2013 #34
I do too, it would be nice to have everything in one place uponit7771 Jul 2013 #40
Just a comment here. My Husband is a Disabled Veteran. Any VA Doctor can Autumn Jul 2013 #45
I trust a Koch owned subsidiary to handle all my private data railsback Jul 2013 #41
Good point, now it IS a matter of who we trust more; the goverment or private because at SOME point uponit7771 Jul 2013 #44
Apples and Oranges usGovOwesUs3Trillion Jul 2013 #47
Wont be "voluntary" if we go single payer and right now my medical records ARE centralized with my uponit7771 Jul 2013 #54
Still does not compare, and you could opt out usGovOwesUs3Trillion Jul 2013 #71
I could opt out of using the phone too. You're right thought, there's WAY MORE info in medical recor uponit7771 Jul 2013 #72
Yeah right, don't forget the web too usGovOwesUs3Trillion Jul 2013 #73
I think maybe we should re-think the President's health plan... kentuck Jul 2013 #49
right, why should we trust him or anyone else on single payer? uponit7771 Jul 2013 #53
A bit late for that one, since it's the law of the land. geek tragedy Jul 2013 #69
I have omitted the patient's SS# on reports for decades. AtomicKitten Jul 2013 #50
I guess the same way I trust Social Security and Medicare. sinkingfeeling Jul 2013 #51
should we any longer? There's more info in SS and Medical records than in phone records uponit7771 Jul 2013 #52
Why do you think they don't use it?? kentuck Jul 2013 #57
Of course, we should. sinkingfeeling Jul 2013 #58

Autumn

(45,120 posts)
1. I would trust the government with my medical records, but sure as fuck
Mon Jul 8, 2013, 11:39 AM
Jul 2013

wouldn't trust the NSA with them.

Autumn

(45,120 posts)
6. Well let's see, I trust the IRS with my information
Mon Jul 8, 2013, 11:44 AM
Jul 2013

I trust the SS administration with my information. I do not trust Booz Allen Hamilton with my information. Is Booz Allen Hamilton a government agency that gives me recourse if some information is wrong?

Autumn

(45,120 posts)
62. I really don't have a choice on that, none of us do.
Mon Jul 8, 2013, 02:33 PM
Jul 2013

But at least with the IRS you have recourse and the ability to get information corrected. I saw that and it was a stupid thing to happen. If the NSA had done that we would never know.

 

HeroInAHalfShell

(330 posts)
64. that is true, we don't really have a choice, but that doesn't mean I trust them
Mon Jul 8, 2013, 02:35 PM
Jul 2013

with my information.

and that just proved it.

Romulus Quirinus

(524 posts)
13. Because one's potential status as an enemy of the state isn't encoded in our entrails?
Mon Jul 8, 2013, 11:47 AM
Jul 2013

I had thought we had a fairly fruitful discussion about this.

============================

Say I was a gay man who had not revealed this to his conservative employers, and I have made myself known to President Santorum due to being a nuisance at a public event. He tells his spooks to look in my NHS record and find some dirt. Lo and behold, he finds I have a chronic HIV infection and have reported a homosexual relationship to my doctor. He could then hold this over my head as blackmail or release it to the regular suspects in the right-o-sphere and attempt to smear me (assuming this is still an effective tactic 10 years from now).

However, to do so, he would have to break the law (HIPAA, in this case).

Similarly, he would have to break the law to extract my closet-skeletons via the FBI/NSA route, as you and others have outlined previously. This, if I understand correctly, is the heart of your comparison.

However, there is a difference in the threat level.

1) Abuses of an NHS would be easier to audit and reveal, since there should be no security clearances attached to the operations of such a system, outside of HIPAA-style privacy protections.

2) FBI/NSA style intelligence gathering is much more opaque, concealed with several levels of security and having a very low audit rate. Also, it can gather much more than my medical history. It can potentially know my entire social network (if I'm not cautious or technology aware) as well as the contents of all my electronic communications. Breaching the NHS database is a violation, to be sure, but that data is a small subset of what can be found using intelligence systems, and I have no way to protect myself because I have no way of knowing how they got that information.

Moreover, the good yielded by an NHS would heavily outweigh the risk, based on examining the dozens of diverse implementations the world over, whereas we have no proof of efficacy with respect to intelligence gathering systems.

Thus, I think the argument can be made that supporting an NHS would not conflict with the goal of restraining in law our electronic eavesdropping capabilities.

sabrina 1

(62,325 posts)
25. Government V Private Global Corporations
Mon Jul 8, 2013, 11:54 AM
Jul 2013

There are historical records we can look at to see who is more accountable with people's personal data, not even more trustworthy, but who is accountable, and who is not?

It's not hard to figure out that for profit Corps are not held to the standards elected officials are supposedly held to, which is why Congress has taken the out of handing over our 'Security' to their buddies in the Private Sector.

sabrina 1

(62,325 posts)
46. Then we need laws to prevent that. Either they are serious about our 'security' or they
Mon Jul 8, 2013, 12:22 PM
Jul 2013

are lying. Enough of the garbage we've been so meekly accepting.

This privatization of everything needs to end, and that is the issue that should be at the top of the list in the next election.

sabrina 1

(62,325 posts)
59. So far. We didn't have the current iteration of Private Corporations until Bush
Mon Jul 8, 2013, 01:01 PM
Jul 2013

came into office. Eg, I would not want any of the 'new contractors' that emerged to touch anything that has to do with the people's personal business, yet that is what is happening.

The problem is huge, and Medicare, Medicaid, SS are all targets of these criminals, criminals who control many of these Corporations.

Sometimes prevention is better than cure.

Recursion

(56,582 posts)
55. You know for profit corps process all Medicare, right?
Mon Jul 8, 2013, 12:54 PM
Jul 2013

Contacting had always been an essential part of governing.

Autumn

(45,120 posts)
10. They are a private contracting company. I draw a distinction there.
Mon Jul 8, 2013, 11:46 AM
Jul 2013

The IRS had some wrong information, I was able to contact them and they fixed it.

 

NoOneMan

(4,795 posts)
19. And like the Department of Education
Mon Jul 8, 2013, 11:49 AM
Jul 2013

Whose sole focus is to teach little children, not spy the fuck out of people. Its amazing that humans have the brain capacity to trust the sweet old kindergarten teacher down the road but not some rat bastard spy working on behest of the 1%. Sounds like an immensely complicated process. Maybe some humans really can't do it.

uponit7771

(90,348 posts)
23. I don't think the gov is in the business of arresting 3rd graders but college records for isntance
Mon Jul 8, 2013, 11:51 AM
Jul 2013

...could be used

 

NoOneMan

(4,795 posts)
27. They probably are used
Mon Jul 8, 2013, 11:54 AM
Jul 2013

What's your point? Do I trust my former college to protect my privacy (though they had on multiple ocassions against very powerful groups)? Ultimately, no.

So?

Are you getting at something? Should we throw the baby out with the bathwater and burn all elementary schools and colleges now?

uponit7771

(90,348 posts)
30. ..my point being that there is WAY more info in medical records than phone num records...
Mon Jul 8, 2013, 11:56 AM
Jul 2013

...that could DEFINITELY be used against a person for a myriad of reasons.

Should we trust the government with medical records?

regards

 

NoOneMan

(4,795 posts)
37. Maybe we shouldn't but what does this have to do specifically with single-payer?
Mon Jul 8, 2013, 12:03 PM
Jul 2013

You don't have single-payer, you never will and single-payer can be run without a vast electronic database of your medical information (as it was for decades in Canada).

So maybe you should this argue this from a simple viewpoint:

electronic medical records may be potentially dangerous and ripe for privacy violations.

And that is a very good debate worth having:
http://www.huffingtonpost.ca/2013/01/14/bc-health-privacy-breach_n_2475424.html

Ultimately though, the sole purpose of the HHS isn't primarily to identify dissidents, criminals, future terrorists, etc. If that ever because its focus, then most surely giving them any more information would be detrimental to civil rights.

uponit7771

(90,348 posts)
39. The gov has my phone records and they have LESS info than my medical records...
Mon Jul 8, 2013, 12:04 PM
Jul 2013

...why would I trust them with either?

Regards

 

NoOneMan

(4,795 posts)
43. Don't. And keep an eye on that sweet ol kindergarten teacher down the street too
Mon Jul 8, 2013, 12:08 PM
Jul 2013

I'm not sure why anyone thinks any person should be ultimately "trusted". Thats why we have accountability, audits, reports, investigations, etc. That is how a society functions....by keeping those who have the ability to abuse their power in check.

And no....metadata isn't "less" information. Its different information. It can be used to create social networks and circles to segment/profile--via associations & memberships--with high confidence to identify criminals and future criminals for manual spying.

uponit7771

(90,348 posts)
14. ...for isntance in Z trial the government can "leak" that he was on the medication THAT NIGHT...
Mon Jul 8, 2013, 11:48 AM
Jul 2013

...for instance

They myriad of ways it can be used against us is too vast to list IMHO.... same with phone records

treestar

(82,383 posts)
26. Wow what a lack of imagination
Mon Jul 8, 2013, 11:54 AM
Jul 2013

These can be used for far more nefarious purposes - they are specific to individuals, too, unlike the phone number data.

uponit7771

(90,348 posts)
32. right, I think I'll update my post to this fact. That medical records a not only specfici but they'r
Mon Jul 8, 2013, 11:57 AM
Jul 2013

...more definitive to the person too.

It's really hard to skate out of the fact that someone was prescribed a medicine.

hobbit709

(41,694 posts)
4. I haven't trusted the government since 1966
Mon Jul 8, 2013, 11:43 AM
Jul 2013

When they lost records I needed at the time. Then they were suddenly "found" after I raised a fuss.

 

HeroInAHalfShell

(330 posts)
5. I'm not so sure anymore who I can trust in the government...
Mon Jul 8, 2013, 11:44 AM
Jul 2013

On one hand it would help things, but I don't want to have to worry about my medical records getting obtained by someone who shouldn't have them...

Kinda scary..

 

NoOneMan

(4,795 posts)
8. How will they use them to identify future dissidents, criminals and terrorists?
Mon Jul 8, 2013, 11:45 AM
Jul 2013

Or maybe you are comparing apples to oranges.

In any case, single payer existed long before easily accessible and sortable electronic records. They are not necessary and privacy is a very real concern, as illustrated by the breach of millions of records by contractors in British Columbia recently. Its a debate worth having if Americans ever had the balls to debate privacy and debate single-payer. But they don't

uponit7771

(90,348 posts)
18. Those on psychoactive drugs for instance, that's easy...the NUMBER of ways medical records can be
Mon Jul 8, 2013, 11:49 AM
Jul 2013

...used against someone is too vast and varied to list IMHO

 

NoOneMan

(4,795 posts)
22. Fine. Then if you ever get the balls to demand single-payer, do it old school
Mon Jul 8, 2013, 11:51 AM
Jul 2013

But first, stop comparing apples to oranges to drive some ridiculous point home about a take-it-or-leave it homogenous government that we must either be for or against.

uponit7771

(90,348 posts)
38. I got balls enough to get back to a functioning gov so we can get single payer, right now 1 person
Mon Jul 8, 2013, 12:04 PM
Jul 2013

...in the senate can stop the will of the majority in American and unmitigated gerrymandering allows the few to overide the many in the house.


I don't believe these are apples and oranges comparisons
regard

WovenGems

(776 posts)
9. Accountability
Mon Jul 8, 2013, 11:45 AM
Jul 2013

DNA analysis in the hands of HMO's would be very bad. DNA markers in a national database with details kept at the local level is good crime fighting and victim IDing. It isn't just a matter of "trust".

siligut

(12,272 posts)
12. My concern has been employment selection in regards to "fitness"
Mon Jul 8, 2013, 11:47 AM
Jul 2013

Corporations have already started wellness programs where employees who participate get discounts on their insurance deductions.

treestar

(82,383 posts)
16. food for thought
Mon Jul 8, 2013, 11:49 AM
Jul 2013

though I doubt you'll see much thought going on!

But it does show that this "spying on Americans" is not really something to get excited about. It would have to be a lot worse to justify all the hand wringing.

pipi_k

(21,020 posts)
17. You know, you really can't trust
Mon Jul 8, 2013, 11:49 AM
Jul 2013

anybody with any information.

Just recently, in a local town/city, a bunch of medical records was found carelessly thrown away in a dumpster.

The same thing has happened with printed bank records. Thrown in a dumpster. Not even shredded.

The Straight Story

(48,121 posts)
31. Well, here is how it would work:
Mon Jul 8, 2013, 11:57 AM
Jul 2013

They will map your emails, calls, fb postings, forum postings, irs data, credit card purchases, guns, health, and dna (along with other info) so that they can insure you are not doing things which are bad for you personally and increasing health care costs.

A sick person is not productive for our corporate overlords. The more the government knows about you the better they can help you and others become all that you can be.

And just think of how they can gather statistics to help others. This is all for our best interests.

We can be more safe, have better health, and folks in DC can assist us in making better choices. You can find out if your neighbor owns a gun and drinks. Did that one lady in church have an abortion? Is that person you are thinking of marrying have some odd genetic issues that you might want to know about ahead of time, and was their dna picked up at an old crime scene?

We should trust our government, when have they done anything to cause us not to trust them? Other than things like this:

New Book Documents Cold War Experiments on Kids
http://www.democraticunderground.com/10023197246

See - they do it all for the kids and our safety.

cbdo2007

(9,213 posts)
33. What makes you think the govt doesn't already have access to your medical records???
Mon Jul 8, 2013, 11:58 AM
Jul 2013

If they want them, I'm sure they can ask for them and will receive them at will.

Medicare and Medicaid are both managed by private health insurance companies, so I'm sure "exchange of information" is in the secret contract.

uponit7771

(90,348 posts)
36. well, if we went single payer they'll most likely have access to more crap...just sayin...access to
Mon Jul 8, 2013, 12:01 PM
Jul 2013

...phone records are bad enough...

Access to medical records is worse

tridim

(45,358 posts)
34. I don't know, but I do know I wish I had my entire family medical history available for searching.
Mon Jul 8, 2013, 12:00 PM
Jul 2013

We need to figure it out, now.

The only medical history I have going back four generations is more-or-less, "I think he/she may have died from (insert guess here)". The people that would know are all dead, the information is lost.

That kind of information is incredibly important to future generations and I'm sick of it being purposefully shit-canned because someone who thinks they know better than me is worried about their bout with impotence being on file. Fuck them.

Autumn

(45,120 posts)
45. Just a comment here. My Husband is a Disabled Veteran. Any VA Doctor can
Mon Jul 8, 2013, 12:18 PM
Jul 2013

access his records and discuss with my Husband any procedure or prescription change that was done in another facility by another Doctor. My Husband can go to his Dr. and find out what his blood pressure was on June 3 2012. He can find out when his medications were adjusted or changed. He can discuss these things with his Dr. The key being, he can discuss it and get print outs if he wants them.

 

railsback

(1,881 posts)
41. I trust a Koch owned subsidiary to handle all my private data
Mon Jul 8, 2013, 12:06 PM
Jul 2013

Screw the government, man! They got laws and regulations and shit to follow.

Libertarian all the way, baby!

uponit7771

(90,348 posts)
44. Good point, now it IS a matter of who we trust more; the goverment or private because at SOME point
Mon Jul 8, 2013, 12:11 PM
Jul 2013

....we're going to single payer IMHO

 

usGovOwesUs3Trillion

(2,022 posts)
47. Apples and Oranges
Mon Jul 8, 2013, 12:29 PM
Jul 2013

The NSA is a centralized, aggregation of all communications, done in secret.

Medicare/Medicade is a centralized database of just medical information we voluntarily submit, that is highly regulated, especially in regards to privacy, and accountable being its rules not conducted in secret.

No comparison really.

uponit7771

(90,348 posts)
54. Wont be "voluntary" if we go single payer and right now my medical records ARE centralized with my
Mon Jul 8, 2013, 12:53 PM
Jul 2013

...doctor.

uponit7771

(90,348 posts)
72. I could opt out of using the phone too. You're right thought, there's WAY MORE info in medical recor
Mon Jul 8, 2013, 03:53 PM
Jul 2013

...than phone call numbers

 

usGovOwesUs3Trillion

(2,022 posts)
73. Yeah right, don't forget the web too
Mon Jul 8, 2013, 03:55 PM
Jul 2013

There are no alternatives to them, while there are always private options.

kentuck

(111,107 posts)
49. I think maybe we should re-think the President's health plan...
Mon Jul 8, 2013, 12:37 PM
Jul 2013

Since he has not shown a whole lot of respect for privacy? Maybe that would get his attention?

 

geek tragedy

(68,868 posts)
69. A bit late for that one, since it's the law of the land.
Mon Jul 8, 2013, 02:48 PM
Jul 2013

Michelle Bachmann's efforts are unlikely to succeed even with progressive support.

 

AtomicKitten

(46,585 posts)
50. I have omitted the patient's SS# on reports for decades.
Mon Jul 8, 2013, 12:43 PM
Jul 2013

Point of interest, under the social history section of a History and Physical report and with very few exceptions in my work over the years ... nobody drinks excessively and nobody confesses to imbibing in what is referred to as "recreational substances." I think people have been wary of disclosure for a long, long time.

It may take some time to weed out teabaggers and corporation-friendly congressfolk (D and R), but I believe single-payer/Medicare for all WILL happen.

kentuck

(111,107 posts)
57. Why do you think they don't use it??
Mon Jul 8, 2013, 12:55 PM
Jul 2013

Do they think people have a right to a certain degree of privacy?

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